If under the age of 18 , please state your age. (This is to address any child labor laws)

Have you ever been convicted of a felony?
*

Yes No

Do you now, or will you in the future, require immigration sponsorship for work authorization (eg H-1B)?
*

Yes No

How were you reffered to the City of Cabot?

Position applying for?

Start date

-
Month
-
Day Year

Education Information

Education

School Name & Location

Highest Grade Completed

Grade Point Average (GPA)

Course of Study (Major)

High School or G.E.D equivalent

College or University

Vocational or Trade School

Graduate School

Other (including Military)

Certifications

Resume

Upload Resume

Background Information

During the past seven (7) years, have you ever been discharged, suspended or asked to resign from any position?
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Yes No

If yes, please briefly explain:

For the purpose of verifying information, have you ever worked or attended school under a different name ?
*

Yes No

If yes, please specify name:

Professional References

List 2 professional references (that we may contact):

Name (1)

Telephone Number (1)

Email Address (1)

Type of Acquantance (1)

Name (2)

Telephone Number (2)

Email Address (2)

Type of Acquantance (2)

Work History

List all employment experience for the past seven (7) years, starting with the most recent or present employer. (You may include, as part of your work history, any verified work performed on a volunteer basis. Resumes may not be substituted in lieu of completing the following employment information).

Disclosure Terms & Agreements

(Please read the following statements fully and Initial after each)

I have disclosed all information that is relevant and should be considered applicable to my candidacy for employment.

I understand, where permissible under applicable state and local law, i may be subject to pre-employment medical examinations after receiving a conditional offer of employment and must meet the qualifications for the position, with or without reasonable accommodation, before being permitted to commence work for the City of Cabot.

I understand, where permissible under applicable state and local law, i may be subject to pre-employment drug testing after receiving a conditional offer of employment and must receive a negative result for illegal drugs before being permitted to commence work with the City of Cabot.

I understand that employment with the City of Cabot is also contingent on my providing suffiecient documentation necessary to establish my identity and eligibility to work in the United States.

I expressly understand and agree that , if employed, my employment, having no specified term, is based upon mutual consent and may be terminated at will, with or without cause, by either party (City of Cabot or me) without prior notice to the other, unless otherwise prohibited by law.

I understand that no representation, whether oral or written, by any representative or agent of the City of Cabot, at any time, can constitute an implied or expressed contract of employment. I further understand no representative or agent of the City of Cabot has the authority to enter into and agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit or other terms or condition of employment other than in a document signed by the Director of Human Resources or an authorized representative.

I certify, under penalty of perjury, that all of the above information is true and complete and I understand that any falsification or omission of information may result in denial of employment or, if hired, may result in termination regardless of the time lapse before discovery.

Note: An offer of employment is conditioned upon complying with the City of Cabot's requirements including, but not limited to, signing a consent to conduct a background investigation.